ABC's Of Diabetes - The Basic Rules of Nutrition Therapy For Managing Diabetes.

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"C" reminds patients and family members of the critical role of cholesterol / lipid management in the prevention of CVD and stroke. Patients with diabetes have a greater incidence of abnormal lipid levels that contribute to higher rates of CVD. Research studies have factually shown that, lipid management aimed at lowering LDL cholesterol, raising HDL cholesterol, and lowering triglycerides has been shown to reduce macro-vascular disease and mortality in patients with diabetes, particularly those who have had prior cardiovascular events.

Ongoing medical nutritional therapy (MNT) and diabetes self-management education are two essential components of a successful diabetes management program. Patients need to understand their diabetes management program to prevent diabetes-related complications. Self-management education also teaches patients to adopt healthier lifestyles, including a regular physical activity program that is adapted to the presence of complications and advice to not smoke or counseling for smoking cessation.

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User Comments

20 September, 2010 | Vijayalakshmi | Reply

Diabetes requires regular monitoring to see that all parameters are within the accepted range. We can take the table below as a rough guide as it has to be customised for the individual

Diet-Each meal
Eyes/nerves-Yearly
BP -Once a week and more often if labile
HbA1c -2-4 months depending on levels
Glucose -Once a day at least for those whose levels are high or else 5-6 times a week at different times of the day to exercise control
Kidneys -Yearly for protein
Check Feet -Everyday
Weight - Weekly if trying to reduce weight or once a month
Exercise -at least 30-40 mts (twice a day is better)
Register with us to have a dedicated dietitian help you to keep well.

28 May, 2010 | Sangeetha Narayana Swamy | Reply

Dear Kerry,

Self Monitoring of Blood glucose (SMBG) is identified as one of the responsible tool in Diabetes Management.

It's advantages are:
1. Blood glucose can be measured at home, office, while traveling and when exercising.
2. It is an effective, sensible and convenient method.
3. Results are displayed with in seconds
4. The acquired results will be useful in tracking blood glucose levels over a period of time, to inform the doctor for changes in medications, will provide information about the effects of food and activity on blood glucose levels.
5. Helps to identify hypo and hyperglycemia and accordingly prompt action can be taken
6. Choices about activities and exercises can be made depending on the sugar levels.

It is not necessary for you to prick yourself everyday to check the blood glucose levels, but you may check at least 3- 4 times a week and at different timings like fasting, postprandial, before dinner, after exercise and sometimes even in the middle of the night.

Apart from doing SMBG it is also necessary to check your HbA1C twice a year, keep a check on you Blood pressure, cholesterol levels, diet and exercise. A comprehensive management like this would help in preventing any further complications because of hyper or hypoglycemia.

Please feel free to contact the NutritionVista team for any further details.

Regards,
Sangeetha Narayana Swamy,
Senior Dietitian,
NutritionVista.com

28 May, 2010 | Kerry | Reply

Hi,
I have been recently diagnosed with type 2 diabetes.I check my blood glucose regulary with glucometer.Is it possible that I stop monitoring blood sugar and instead go for A1C testing twice a year?

28 May, 2010 | Kanika | Reply

Hi Kerry,

Checking your blood glucose at home with a meter tells you what your blood sugar level is at any particular time, whereas, A1C test gives you a picture of your average blood glucose control for the past 2 to 3 months. The results give you and your doctor a good idea of how well your diabetes treatment plan is working. However, it is not replacement for self testing of blood glucose.

Kanika Jain
Dietitian
NutritionVista

28 May, 2010 | Kerry | Reply

Hi,
I have been diagnosed with type 2 diabetes recently.I monitor my blood glucose regularly.Isnt it possible that I stop monitoring blood glucose from my glucometer often and instead just go for AIC twice a year?

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